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Nasser Ameer 11049 Terkee Al-Rodan 10961 Final Project: Case 9 Advanced System Simulation 24/05/12
Nasser Ameer 11049 Terkee Al-Rodan 10961 Final Project: Case 9 Advanced System Simulation 24/05/12
24/05/12
1. Introduction
2. Problem Statement
3. ARENA Model
4. Results
4.1. Results
4.2. Analysis
5. Improvements
5.4. Comparison
6. Conclusion
Introduction:
Our project is based on a case study given to use in class, the first Case 9.
Case 9, required us to simulate a 24/7 Clinic that carried out 5 processes. First,
patients would check in, they are then directed into one of three different departments,
the nurse station, the examination rooms or the lab and X-ray department. When
finished the patients checkout, through the checkout department. Finally, we where
of stating the requirements and the creation of that system. After which, it will move
on to stating the results of the system, in terms of time. Finally, this report will then
suggest certain improvements to make the process more efficient and effective.
patients.
Nurse: they are needed to carryout certain task, and help aid the
doctors.
Doctors/Exam Room operators: they are the main resource for this
process, in other words they are needed for the treatment of the
patients.
Lab Technicians: they are the people who operate the machines, such
As we described above the problem is to simulate 24/7 clinic for thirty 24-
hour days. The main issue with this system is the freedom of the patients to go where
they want after they finish one of the processes, note this my lead to a patient going to
the same station more than once. In other words, once a patient enters the systems
there is no specified path the customer must go on, it is only the probabilities of where
customers can go next that indicates the coming point on the path. The follow points
minutes.
They require:
o Resource utilization
The following table contains the processing times for each of the
tasks.
Potential Layout:
NS
R ER CO
LX
R= Reception
Project object:
Using the information above we where able to create the following model,
Please note, that the process times used are all in minutes and have already
been stated above. Furthermore, all decides are two way by chance unless stated
otherwise.
Patients Arrive:
This is done via the create module, with the inter-arrival value of Expo(5.95)
minutes.
Sign in and Waiting room:
This is done through the use of a process module, which uses the Seize Delay
Release action and has a one receptionist as a resource. Furthermore, the delay time
The following block is a decide module, with the true branch entering the
examination module.
Nurse Station:
This is a process module, with a Seize delay release action and a resource of
one nurse.
Examination:
This is a seize delay release process module, with one exam room resource
and a delay as stated above. Furthermore, go to the resource module in the basic
This decides is an N-way by chance, where the false lead to check out and the
true leads to the Nurse station, Exam room or Lab and X-ray, respectively.
This section is a seize delay release process module, with one Lab technician
This is another decide module where true leads to the Nurse station, with an
Check Out:
As stated above a graph is required to show the current number in the system.
To do so, select the plot icon on the ARENA toolbar, add a new data series with the
number of Patient currently in the system. Furthermore, make sure that the x-axis’s
on the toolbar. These were not requested for the simulation but were added for effect.
Finally, the throughput counter is added from the variable button on the tool
bar and counts the number of people who leave the system, i.e. the number out for the
checkout counter.
Results:
Here are the results of the system, see the actual overview report at the back of
the report:
Resource utilization:
Resource Utilization
Nurse 93.350%
Receptionist 71.810%
Lab Technicians 62.250%
Check out
Administrator 88.570%
Exam Room 91.770%
Utilization
100.000%
90.000%
80.000%
70.000%
60.000%
50.000%
40.000% Utilization
30.000%
20.000%
10.000%
0.000%
rs
e st an
s
to
r m
u oni ti ra Roo
N ti i s t
p hn in
i m
ece ec m Exa
R T d
b
La u tA
o
eck
Ch
Analysis:
Non-waiting time
Wait time
recreate the system by making it more linear, through the reduction in the number of
paths that can be taken by the customer. We did this by shifting the position of the
first nurse station, so that it is after the reception, making it mandatory for the
customer to go to a nurse station straight after check in. By doing so, the patient will
then go in to a decide, where 91.7% of the patients go to the examination station after
he/she is finished from the Nurse station, and the rest of the patients can go to the lab
added, where 47.06% of customers are re-examined. The rest of the customers will
then move on to a new nurse station, again making it mandatory for the patient to
After which the customer go through another decide, where 95.6% of patients
checkout, the other customers go to the lab and X-ray departments. Where, after they
finish, they are presented with another decide, through which 83.33% of the
customers go to the first Nurse station, and the rest go to the checkout.
Please note that due to the new nurse station, Nurse Station 2, the capacity of
the nurses needs to be two. This can be done in the resource module.
Variable resource Allocation:
After we ran the new system we saw that the queue length for the checkout
station can become very crowded. Therefore, we added an administrator that will
Comparison:
Utilization:
Resource Utilization
Nurse 75.780%
Receptionist 73.180%
Lab Technicians 52.920%
Check out Administrator 88.920%
Exam Room 78.460%
As you can see all values are within the optimal range of 45-90% in terms of
Utilization
90.000%
80.000%
70.000%
60.000%
50.000%
40.000%
30.000% Utilization
20.000%
10.000%
0.000%
e t ns r
rs is to om
Nu on i tia ra Ro
ti n i st
c ep ch in am
Re Te m Ex
b Ad
La t
ou
k
hec
C
100.000%
93.350% 91.770%
90.000% 88.570% 88.920%
80.000% 78.460%
75.780%
71.810% 73.180%
70.000%
62.250%
60.000%
52.920%
50.000%
40.000%
30.000%
20.000%
10.000%
0.000%
Nurse Receptionist Lab Technitians Check out Administrator Exam Room
Time:
Reduction
Non-waiting time 35.710 Same
Wait time 32.32 39.333%
Total time 68.03 57.711%
Percentage wait time 47.508%
As you can see in the table, the total and waiting times have decreased
In conclusion, this report simulated a 24 hour 7 days a week clinic for 30 days.
It then analyzed the results obtained from that simulation and tried to improve it.
Furthermore, the improvement included a redesign of the system, through the addition
of an extra nurse station, which would make it more linear, and the addition of a
help with spikes in demand. Finally, by carrying out these improvements we were
able to reduce the total time and waiting time of the customer, and ensure optimal